THE PELVIC PRACTICE
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. *Please read it carefully.*
Our Uses and Disclosures
We typically use or share your health information to treat you, run our organization, and bill for services. We can use your health information and share it with other professionals who are treating you. We can use and share your health information to run our practice, improve your care, and contact you when necessary. For example, we use health information about you to manage your treatment and services. We also may use your health information to help with public health and safety issues, do research, comply with the law, address workers' compensation, law enforcement, and other government requests, and respond to lawsuits and legal actions.
When it comes to your health information, you have certain rights. You have the right to get a copy of your medical record, ask us to correct your medical record, request confidential communications, and ask us to limit what we use or share. You have the right to get a list of those with whom we've shared information, get a copy of this privacy notice, choose someone to act for you, and file a complaint if you feel your rights are violated.
You can ask to see or get an electronic or paper copy of your medical record or other health information we have about you. Ask us how to do this. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may have to charge a reasonable, cost-based fee.
You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this. We may say "no" to your requested, but we will tell you why in writing within 60 days.
You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.
We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breech occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, or on our web site.